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MILL VALLEY DERMATOLOGY INC NPI 1578173936


NPI Information

NPI: 1578173936
Provider Name: MILL VALLEY DERMATOLOGY, INC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 05D2193834

Address:
655 REDWOOD HWY FRONTAGE RD STE 100
MILL VALLEY, CA
ZIP 94941
Phone: (415) 634-8411
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MILL VALLEY DERMATOLOGY, INC is a mohs-micrographic surgery dermatology in Mill Valley, CA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. MILL VALLEY DERMATOLOGY, INC NPI is 1578173936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

655 REDWOOD HWY FRONTAGE RD STE 100
MILL VALLEY, CA
ZIP 94941-031
Phone: (415) 634-8411
Fax: (844) 880-4434

The provider's authorized official is Haydee Knott .
The authorized official title is Director and has the following contact phone number (415) 634-8411.

The CLIA number assigned to this NPI record is 05D2193834 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 7/31/2020 and was last updated on 7/31/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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